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Home My WebLink AboutSUBMITTED PAPERSDate: / D 1 Fee Due::"I Receipt# Permit # (t1 % -� Isl. .�.�•,-.Gi St. Lucie County Building & Zoning e yNE ' t= { 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 Tel. 561-462-1553 Ct� COtlnI SPECIALTY PERMIT APPLICATION ❑ Electrical l/ g Plumbin ❑ HVAC ElFence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: " '�S()H ',-- �i. 'Qtuc� �� '(J 1ILU' e , � � 3`4(1 �a 2. Parcel ID Number: 3`� O`a - �v0'3-- 06. 1 0017— 1 Office Use Section Townshi Ran a Map Page I Zoning Land Use I Initials Only 3. Description of Project or Work Activity:Aax�lvinr � 4. Owners Information Name: Address: City: _i1Ce_ State: 5. Contractors Informa ion FL Reg/Cert #: . CZA/Ue--' County Cert#: Business Name: ----= Zip: Phone:-7`),)3� o- 3141-4 Phone Fax 6. Value of Construction: $ C3SC OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating construction and zoning. PRINT QUALIFIERS/OWNERS N�A SIGNATURE OF QUALIFIER/OWNER /j� STATE OF FLORIDA, COUNTY OF ff�� ACKNOWLEDGED BEFORE ME THIS 1='9 DAY OF 20M, BY 'fa �WFil7"IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATI6 ��•_(Q // TITLE: NOTARY PUBLIC COMMISSION NUMBER St. Lucie County Specialty Permit Application rev. 8/25/05 ding "v' AUDREYB.HUMPHREY MY COMMISSION # DD 633047 A-1 EXPIRES: March 6 2011[[::f Bonded Thru Notary Public Underwriter NOTICE TO OWNER: FAILURE 10ECORD A NOTICE OF COMMENCEMENT MAY` RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information S. Contractor Information 6. Value of Construction Indicate the street address or general location of the property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Fully describe the activity to take place. Indicate the name and address of the owner of the property on which activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all current retail material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction. ❑ Gas Attach 2 piping schematics with tank size, location, and BTU of each appliance ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications ❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34982. All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. NOTE: Emergency electric service change out inspections will not be performed after 3:00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. St, Lucie County Specialty Permit Application rev. 8/25/05 ding 0 COUNTY F L O R I D A ow. FEW St. Lucie County Building & Zoning Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial_ I understand that the building official and inspectors are not there to design or give advice on hpw to meet the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable iabd for the cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction project - they may be entitled to workmen's compensation. I could beJield liable for all doctor, lawyer and rela edical cost, which could include loss of wages during recovery from their injury. Initial To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this a-k_ day of of 201&_. Owner/Builder Signature STATE OF FLORIDA COUNTY OF The fo oing instryment w1cknowleclged before me this CQr day of F/�+J 20-, by ho is personally known to me, or who has produced as identification. - lult��r Ad Ag OR. J%,*A4,A Signature otN y o Type Print Name of Notary (Seal) Title: 1`io_t_a_rylic Commission Number `tp..Py AUDREY 8. HUMPHREY �r MY COMMISSION #. DO 633047 EXPIRES; March 6, 2011 of F4q Bonded Thni Notary Public Underwriters COMM SEWER ✓� RES METER SZ. M/F (� 11 IRR SECURITY DEP SERVICE FEE SAME DAY FEE OVERTIME FEE U METER INSTALL. CFC/WATER FPUA CFC CFC/SEWER GUAR. REV. p LATERAL TOTAL CUSTOMER SIGNATURE. NAME OF SPOUSE ST. LUCIE COUNTY UTILITIES - P.O. BOX 728 FT. PIERCE FL 34982 NAME ACCT. # 10 SERVICE ADDRESS `A Q —\ ;LAt, SUBDIVISION TIC_ LOT BLOCK rl BILLING ADDRESS ;e \ C„ PHONE #) j _?;-) f; +fit+ L AJ MOVE IN/CLOSING DATE This application hereby request and authorizes the Utility to render water and/or sewage disposal services to the premises described above in accordance with the Utilities present or future rates, rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay the Utility promptly for such services in accordance with the established rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. SOCIAL SEC/ FED ID d lr - > k-\, % j SPOUSE SOCIAL SEC. OFFICE USE ONLY DATE RECEIVED U CASH CHK # f RECEIVED G� 1 n Public Works Department Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 INSPECTION AFFIDAVIT RE: Permit # l . O`7 I S� t k-AN,licensed as a(n) Contractor*/Engineer/Architect/ (Please print name and circle license type) FS 468 Building Inspector* • * General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. All affidavits must include photographs of each plane of the roof with the permit N or address N clearly shown marked on the deck for each inspection. On or about I did personally inspect the roof�! (Date & time) r deck nailin nd/or seconddry water barrier work at 0� r�.� rw�g (circle one) (Job Site Address) A Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) `6'�O RCa� o � Li I o c��C' Sig ur al License # STATE OF FLORID COUNTY OF Sworn to and subscribed before me this 6-7 day of 209_ by ,��,j%�/ p,/j j)j Who is personally known for who has produced i %%tom 1-.l •IC as identification. AUDREY B. HUMPHREY Notary Public, State of Florida __: MY COMMISSION a DD 633047 'a= EXPIRES: March 6, 2011 ';R� ty°S•Bonded Thru Signature of Notary: Notary Public Underwriters ^�.�i, Commission No.: (Seal) --I O /7'7 /n'r Property Appraiser - St.Lucie County, FL 0 Page 1 of 1 PROPERTY RECORD CARD Clinton A Barker Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �UCIE C 0Gy Site Address: 4804 SUNSET BV ParcellD: 3402-608-0233-000-1 CNN Sec/Town/Range: 02 :36S :40E Account #: 37325 Map ID: 34/02N Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Clinton A Barker Kathie W Barker INDIAN RIVER ESTATES -UNIT 7- BLK47 LOT 3 (MAP 34/02N) (OR Address: 4804 Sunset Blvd 3064-560) Fort Pierce FL 34982 Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 94500 Land Value: 26500 Acres: 0.25 1/15/2009 65500 0112 SP 3064 / 0560 Assessed: 94500 Building Value: 68000 . 9/10/2008 100 01 CT 3024 / 1109 Ag.Credit: 0 Finished Area: 1825 SgFt 8/14/2006 250000 00 WD 2667 / 0968 Exempt: 8/23/1995 79900 00 WD 0971 / 2353 Taxable: 2/8/1994 68000 00 WD 0885 / 2389 Taxes: 1848.07 2/7/1991 77000 00 WD 0724 / 0465 2/1/1988 9500 00 CV 0577 / 0842 BUILDING INFORMATION Exterior Features View: RoofCover: FS - Fibrglss Shg ExtType: HC - HC YearBlt: 1989 Grade: C - C EffYrBlt: 1989 StoryHght: 0020 - 2 Story No.Units: 1 Interior Features BedRooms: 4 Electric: MX - MAXIMUM FullBath: 2 HeatType: FHA - FrcdHotAir 1/2Bath: 0 HeatFuel: ELEC - Electric %A/C: 100 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use ENC2 - POOL ENC-AVG Y 1 851 AV AV 1996 1 0100-SF Res SWAV - RES POOL AVG Y 1 288 AV AV 1996 PA01 - POOL DK-AVG Y 1 563 AV AV 1996 DWC - Driv-Concret Y 1 720 AV AV 1989 FEN4 - CHAINLINK 4' Y 1 200 AV AV 2000 RoofStruct: GA - Gable Frame: PrimeWall: WS - Wood/Sheath SecWall: PrmintWall: DW - Drywall AvgHUFI: Prm.Flors: CU - Carpet %Sprinkled: 0 Type Measure Depth BI -Front Ft 87.8 125 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.pasic.org/prc.asp?prclid=340260802330001 1 /19/2010 Property Appraiser - St.Lucie Canty, FL Page 1 of 1 40 PROPERTY RECORD CARD Clinton A Barker Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification co Site Address: 4804 SUNSET BV ParcellD: "VUCIE 3402-608-0233-000-1 �� 2� Sec/Town/Range: 02 :36S :40E Account #: 37325 Map ID: 34/02N Land Use: SF Res Zoning: RS 4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Clinton A Barker Kathie W Barker INDIAN RIVER ESTATES -UNIT 7- BLK47 LOT 3 (MAP 34/02N) (OR Address: 4804 Sunset Blvd 3064-560) Fort Pierce FL 34982 Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 94500 Land Value: 26500 Acres 0.25 1/15/2009 65500 0112 SP 3064 / 0560 Assessed: 94500 Building Value: 68000 9/10/2008 100 01 CT 3024 / 1109 Ag.Credit: 0 Finished Area: 1825 SgFt 8/14/2006 250000 00 WD 2667 / 0968 Exempt: 8/23/1995 79900 00 WD 0971 / 2353 Taxable: 2/8/1994 68000 00 WD 0885/2389 Taxes: 1848.07 2/7/1991 77000 00 WD 0724 / 0465 2/1/1988 9500 00 CV 0577 / 0842 BUILDING INFORMATION Exterior Features View: RoofCover ExtType: HC - HC YearBlt: Grade: C - C EffYrBlt: StoryHght: 0020 - 2 Story No.Units: Interior Features Bed Rooms: 4 Electric: FullBath: 2 HeatType: 1/26ath: 0 HeatFuel: %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Qual. Cond. YrBlt. ENC2 - POOL ENC-AVG Y 1 851 AV AV 1996 SWAV - RES POOL AVG Y 1 288 AV AV 1996 PA01 - POOL DK-AVG Y 1 563 AV AV 1996 DWC - Driv-Concret Y 1 720 AV AV 1989 FEN4 - CHAINLINK 4' Y 1 200 AV AV 2000 FS - Fibrglss Shg RoofStruct: GA - Gable 1989 Frame: 1989 PrimeWall: WS - Wood/Sheath 1 SecWall: MX - MAXIMUM PrmintWall. DW - Drywall FHA - FrcdHotAir AvgHt/FI: ELEC - Electric Prm.Flors: CU - Carpet 100 %Sprinkled. 0 Land Information No Land Use Type Measure Depth 1 0100-SF Res BI-Front Ft 87.8 125 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/prc.asp?prclid=340260802330001 1 /25/2010 'u7 Edit View BookmarKs Tools 'J indos% Help 0 'O' Q Q 4.. .. n a N 1 19' .. 6 44 o e Basemap Markers J ,i ! - a_ iG v ❑ WgMglttar _. Layers- _Lsemap Markers - -- '-Ounty Boundary RE RU IIIS Ovenay Zones I Sections n:stonc Structures III ,ddress Master Misc Addresses 'i S Hydrology Names Road RO'N Dimensia I Lot Lines Block Plumbers Anno 0 Lot Number A-0 y Parcel Dimension Am Managed Care Faolit Roll, CPU6 CPUB Major Roads 4804 3 y: Streets RS-A RU •. Historic Sites 'I Hvdrobgy �-nexations 1 a-cels =coo Zones t Pennons 1f1 `I .� Arport Rinwev Parks &Preserves _ ..- ❑ site Mans Future Land Usetti, Zoning wndzones 1` rt Mobile Home Parks 1 _ - x i.. Subdivisions 1 _ y Sold ',Vaste Service,- '.�J Malor Hydrology It _ r Rs-d RU L1 Utility Service Areas _ - t _ r !> Zip Codes ty I] Muixipakties 'y - r Aerials 2DD9 • i— 4'rudc 7N1fi � - �� v > ,,dc features, places and addresses on the map 881260.54 1106788.41 Feet V Unday, Jan 25, 2010 01:23 PM